MR imaging in sclerosing mesenteritis.

Kronthal, A J; Kang, Yeo-Jeong; Fishman, E K; Br, Jones; Kuhlman, Janet E.; Tempany, C. M. C.

doi:10.2214/ajr.156.3.1899747

Cited by 49 publications

(39 citation statements)

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“…It was reported that MR imaging shows a mesenteric mass with low signal intensities on T1-and T2-weighted images, reflecting fibrous tissues (Table 1). 1 The present case demonstrated the same finding. However, from these images, it is difficult to distinguish sclerosing mesenteritis from a mesenteric metastasis from the carcinoid tumor of the small bowel (Table 1).…”

Section: Discussionsupporting

confidence: 86%

“…1-3 Autoimmune disorders such as retroperitoneal fibrosis are commonly proposed as its etiology, although infections, trauma, and ischemia have also been proposed as its causative fac- tors. [1][2][3] The histopathologic specimen shows dense fibrous tissues surrounding entrapped adipocytes and lymphatic infiltration. Calcification appears to be present within fat necrosis.…”

Section: Discussionmentioning

confidence: 99%

“…Commonly presented symptoms in this disease include abdominal pain and vomiting. 1 The radiologic features of conventional barium studies often demonstrate kinking and angulation of the small bowel. 4 The folds may be thickened owing to either extension of the mesenteric process into the submucosa or edema from lymphatic obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] It is a tumorlike expansion of the mesentery, pathologically characterized by varying degree of chronic inflammation, fibrosis, and fat necrosis. Its etiology is commonly suggested to be autoimmune disorders, such as retroperitoneal fibrosis.…”

Section: Introductionmentioning

confidence: 99%

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CT and MR features of sclerosing mesenteritis mimicking a mesenteric metastasis from the carcinoid tumor

et al. 2006

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Sclerosing mesenteritis is a rare and benign inflammatory entity characterized by fibrofatty thickening of the mesentery. To our knowledge, there are only a few reports on the features of sclerosing mesenteritis on magnetic resonance (MR) imaging and computed tomography (CT). In this present case, MR imaging demonstrated tissue characterization of fibrosis, and partial maximum intensity projection (MIP) and three-dimensional angiography images obtained using multislice CT clearly revealed the extent of the tumor and the vascular appearance affected by the mass. However, a mesenteric metastasis from the carcinoid tumor may show such imaging features. Therefore, when encountering such a case, we suggest that a tentative diagnosis of sclerosing mesenteritis be made, followed by a biopsy for intraoperative histopathologic analysis to avoid aggressive surgery.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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CT and MR features of sclerosing mesenteritis mimicking a mesenteric metastasis from the carcinoid tumor

et al. 2006

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“…The condition can progress slowly over months and can lead to fibrosis, scarring, retractions and obstructive symptoms [8]. Definite diagnosis is obtained by biopsy of the mesentery but it is rarely needed nowadays because of the presence of high-resolution CT scans and Magnetic Resonance Imaging (MRI) [5,[9][10][11]. Treatment is reserved for symptomatic cases only, but no consensus has been established yet [8].…”

Section: Discussionmentioning

confidence: 99%